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CaribMedia Marketing & Consultancy
N.V. |
2008 REGISTRATION FORM VisitAruba Plus Card membership PLEASE PRINT OUT,
FILL IN, |
Last Name: __________________________ First Name(s):_____________________________ Mailing Address: ________________________________________________________________ City: ________________________________
State: ____________________________ Phone: ______________________________
Fax:_____________________________ Arrival date: _______/_______/________ [ __ ] I would like my card sent to me by mail. [ __ ] I would like my card
delivered to my hotel. Name of Hotel:______________________ In lieu of my credit card imprint, I,
_____________________________________________ ______________
_________________________ _________
__________________________ the amount of US$13.95 being payment for the VisitAruba Plus 2008 membership period December 1, 2007 until December 1, 2008, PLUS US$3.95 (for shipping & handling to the USA or CANADA) OR US$4.95 (for shipping & handling to the REST OF THE WORLD) OR US$3.95 (for delivery to my hotel/resort), PLUS US$ ______ for a short notice order. The total amount to be charged to my card is US$_______ TERMS & CONDITIONS: This form signifies acceptance of charges specified in writing by the cardholder and that will be billed to the cardholder. We accept credit card orders only (Visa, Mastercard). Faxed identification is required in the form of Passport or Driver's License of Cardholder. Incomplete or false information shall be considered sufficient cause for denial of services. WE CANNOT ACCEPT PERSONAL/BANKER'S CHECKS - CREDIT CARD ONLY. THANKS! |